Affidavit of Late Registration

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Republic of the Philippines )

Province of Cebu )S.S.


Municipality of Liloan )

AFFIDAVIT OF LATE REGISTRATION

We, _________________ and ___________________, both are Filipino, of legal


age, residing at ________________________, after having been duly sworn to in
accordance with law, do hereby depose and say;

1. That we personally know __________________, the daughter of


______________________ and _________________________, being our
neighbor and intimate friend of the family in ____________________________;

2. That he/she was born on ____________________ at ___________________,


and that the said birth was not registered at the Municipal/City Civil Registry
Office of _____________________________________, because of
____________________________;

3. That we are not related to the said person either by consanguinity or by affinity
nor do we have any pecuniary interest whatsoever;

4. That we are executing this affidavit to affirm the true facts of the birth record of
______________________________ who would want to avail of late registration
of birth at the Office of the Civil Registry of _____________________.

IN WITNESS WHEREOF, we hereunto set our hands this ______ day of


_________________ at __________________________.

__________________________ __________________________
Affiant Affiant

CTC No. : CTC No :


Date Issued : Date Issued :
Place Issued : Place Issued :

Subscribed and sworn to before me this ___th day of ___________________ at


Liloan, Cebu Philippines.
Republic of the Philippines)
Province of Cebu )SS Reg. No. _______________
Municipality of Liloan )

AFFIDAVIT OF LEGITIMATION

We, ___________________ and __________________, both Filipinos, of legal ages, and


residents of ________________________________, after having been duly sworn to in
accordance with law hereby depose and say:

1. That we are the biological parents of _________________________ , who was born on


__________________________ at __________________________;

2. That at the time of the conception and birth of the said child we were not yet married,
hence the child was born out of wedlock;

3. That the said child was conceived and born outside of wedlock but at the time of
conception, the parents were not disqualified by any impediment to marry each other,

4. That our child was not conceived and born out of an adulterous, incestuous or bigamous
or of a marriage void of public policy;

5. That on _____________________________, we subsequently entered into a valid


contract of marriage, at the __________________________________;

6. That it is to the best interest of the our child to be conferred with a legitimate status;

7. That we execute this affidavit to establish the foregoing facts for the purpose of
conferring a legitimated status to __________________________________.

IN WITNESS WHEREOF, we have hereunto set our hands this ___th day of
___________________ at Liloan, Cebu Philippines;

____________________________ ________________________________
AFFIANT AFFIANT
VIN: ______________________________ VIN:____________________________
COMELEC________________________ COMELEC - _____________________

SUBSCRIBED AND SWORN TO BEFOR ME, this ___th day of _____________________


in Liloan Cebu Philippines.
Republic of the Philippines)
Province of Cebu )SS
Municipality of Liloan ) Reg. No. _______________

AFFIDAVIT OF LEGITIMATION
(UNDER RA 9858 where the child was conceived with mother/father or both are below 18 years
old)

We spouses, ____________________and __________________, both Filipinos, of legal


ages, and residents of _____________________________, after having been duly sworn to in
accordance with law hereby depose and say:

1. That we are the biological parents of __________________________, who was born on


__________________________, at _____________________________;

2. That at the time of the conception and birth of the said child we were not yet married,
hence the child was born out of wedlock;

3. That the said child was conceived and born outside of wedlock but at the time of
conception the parents were not disqualified by any impediment to marry each other,
except that the mother, father or both was / were below eighteen (18) years of age;

4. That this impediment have been amended by RA 9858 allowing the child to be
legitimated by subsequent marriage of the parents even if one of them is below
eighteen (18) years old during the conception of the child;

5. That our child was not conceived and born out of an adulterous, incestuous or bigamous
or of a marriage void of public policy;

6. That on _______________________, we subsequently entered into a valid contract of


marriage at ____________________________________;

7. That it is to the best interest of the our child to be conferred with a legitimate status;

8. That we execute this affidavit to establish the foregoing facts for the purpose of
conferring a legitimated status to_______________________________.

IN WITNESS WHEREOF, we have hereunto set our hands this 27th day of December 2018
at Liloan Cebu;

__________________________ ________________________________
AFFIANT AFFIANT

VIN:_______________________________ VIN: ___________________________


COMELEC ______________________ COMELEC _______________

SUBSCRIBED AND SWORN TO BEFOR ME, this _____th day of __________________


in Liloan Cebu.
RA9255 Form No. 1
(Revised March 2016)

REPUBLIC OF THE PHILIPPINES )SS


LILOAN CEBU )SS
Registry No____________

AFFIDAVIT TO USE THE SURNAME OF THE FATHER

I, __________________ , FILIPINO ___________ ______ years old, a


Affiant’s Name (mother) Citizenship Civil Status age
resident _______________________ after having been duly sworn to in accordance with law do

hereby declare that:

1. I am seeking the use of Surname _______________ ____________________________ in:

a) My certificate of Live Birth / Report of Birth, pursuant to RA 9255

b) The Certificate of Live Birth / Report of Birth, __________________________


(Complete name of child)
Who is my ___________________ pursuant to RA 9255
( Relationship of the affiant to the child)
2. He / She was born on _______________ at ____________ ___________ Philippines
(Date of Birth) (Municipality) (Province) (Country)
3. My/The birth was recorded under Registry No. ____________ on ______________ (if applicable)
4. The public document of the Private Handwritten Instrument was recorded under Registry
No.________________ on ____________________ at the Local Civil Registry Office (LCRO)
(Registry NO) (Date of Registration)
5. I am filing this AUSF at the LCRO / PFSP of _________ ____ ____________ _____________
(Municipality) (Province) (country)
In Accordance with RA 9255 and its Revised Implementing Rules and Regulation.
6. I hereby certify that the statements made herein are true and correct to the best of my
knowledge and belief.
7. In witness whereof, I hereby affix my signature on this ____day of _______________ 2018
at
Liloan Cebu.

______________________
(Signature Over Printed Name of the Affiant)

SUBSCRIBED AND SWORN to before me this ___ day of _____ 2018 in


this city / municipality of Liloan Cebu, affiant exhibiting his / her _________ issued on ________ at
_______________. I certify that I personally examined the affiant and that he/she voluntarily
executed the foregoing affidavit and understood the contents thereof.
Republic of the Philippines)
Province of Cebu ) S.S.
Municipality of Liloan )

Registry No. ____________

AFFIDAVIT OF ACKNOWLEDGMENT/ADMISSION OF PATERNITY

I, ____________________, of legal age, Filipino and presently residing at


_____________________________ having duly sworn to in accordance with law, do hereby
depose and state that;

1. I am the natural and biological father of ______________________ born on


____________________________ at __________________________;

2. The mother is ___________________________, my common law wife at the time of


the conception and birth of the above-mentioned child;

3. I am executing this affidavit to attest to the truthfulness of the foregoing statement


and for purposes of acknowledging my child, _____________________.

In truth whereof, I have hereunto affixed my signature this _____th


day of ___________________ at ______________________________.

___________________________
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ________________ at


_________________. Affiant exhibiting his Community Tax No / COMELEC ID VIN:
________________________________________.

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